HomeMy WebLinkAbout20166004 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O166004
Pin #: 34249lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Unit:
Block: A
Bldg: 14-H Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: LJnit H{
Zoning: R4
E
Assessor'sParcel: 396-261-55 Lot; 8
Owner:
Address
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
01 1 16002
01 't 16002
01 1 16002
01'116002
01116002
5'1603
5'1603
51603
51600
51603
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1.52
Light Fixtures '1.01
General Plan Update 21.25
lssuance 52.98
Qty
500
7.00
400
1.00
1.00
Fee
$7.00
$10.64
$4.04
$21.25
$s2.98
Phone
Tenant Name:
Contractor
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, Tx 75006
(972) 818-106sPhone
State Lic #: 1009989
Bus. Lic #r 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo'|39070
Exprres: 01/01/2019
SCCIi i
1.pt.i 3 tl?2921
fransocL ion
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
Fixture change outs (Unit 4)Code:
R-2
VB
cEc 2016 Notes Fixture change outs (unit 4)
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Chavez, Dave
Date
Date
Date o6t1112018
Account#
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the wo* on the sile
authoized by such permit is cofimenced within 180 days after ts
issuance, or if the wo* authorized on the site by such pemit is suspended
orabandoned lota period of 180 days aftet the time lhe work B
commenced
$21 .25
$74.66
$95.91
$0.00
$9s.91
lnspector MID#:.2018-143641
01116002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Oue:
Proiect Address: 2414 N Tustin Ave
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNEN BUIT,DER DELCARATION
I hdrchy ifilri trndcr pcndry ('r FrJnry rhar Ln.rcmfl rbn rhc C.nr,.h^ Lic.n* bw tur thc ,olloeirs rc!$n {Scc.7oll 5
ausincss trft1 Prolcsion Codc): Any Ciry or County shi.h rcquncs a pcnnh ro onsrtucr. ahs, iopolc. &mlhh N rcNn ony
{ructurc. prntr to irs GsuMcc, aho requircs rhc aprlicrnt lorsuch D(rmit ro fiLs !i! cd i0r.nrnr rh h.ordr k liccnscd ,)uNinr
Io rhc provisions of rh. (1) mctois Liccnrcd Lar (Ch.rtcr 9. Connmrcin8 rirh Sccrion ?(&) ofl)ivision:l ofrh. Busims rkl
Pron$ions Codc ) or lhal hcorshe neicmDl lhcrclronandlhc basn for lhc allcsdcrcmprn,n Any vn,hrionorsccrionT0ll.s bya.y
rmli. r fo. a pcrdn \rhjen rh. drplicanr b d.ivil ,.nalry ot nor nkrc rhM fiv. hu.drM dollrs (SsuJ)
-l.
rs owncr oi lhc prolf,ny. or nry cmpk,yc$ wirh euscs rs rhcn {,b onrll.nsd ion. will du th. work rl lh. srf,rIurc ir ml
nncndcn or oltcrcd nr sb ( S( 7044- Burinc\r lid Prolcsshi\ Codc Th. Conr,.hr's Licctrrc I-l* des not 0p!ly lo !n owmr of
th. popcny *ho huilds ur i'iq,orcs rhcrcon. and who dds skh wor* hnnsclr or hcrslf or rhrcush his or h( osn cnPl.yccs,
providcd rhal such imrmrmnls N ml idcnd.n o, or.r.n nr et ll howcw, trt huildi.e or h{'oEnrnr ir s! qnhin oe ,tr
of.ompldion. rh. osner Buihcr *ill haE thc burdcn or pmving lhd hc or sh. dil mr buiu or inDmw rt. I)mF 1y ror rhc tuqr$ oi
_1, usowNrofrhc prol].ny. rncrcld\i*lycontrc(ins wirh liccnscd conta.t,s k' otrsflcr rlE rojcd (Scc. ?014. Bu$ne$
rM t')lotc$bn Codc: Thc Conk ui Liccnse tjw docs not apply lo m owncr oa prolErry *ho hoild\ or impr.rts rhcrcon.
und *ho conlmcls aor slch p!)jccB $irh r Coirack,(s) li.co\cd pu udn' r.rh.cbftadors Liccns L!w)
uoatrrxti:glMtBraua!
DECLARAIlON
I hcreby olfiirn undcr pcmlty ot pdjury orc oalhc aollowing d(luarion!:
-l
nrvc n will mihtdn ! CcniaEarc of Consot ro Sclf lnsrE lm worts .oftpereraon, s Fo,id.rl for by Sdion 1700 ol thc
kbor Codc. ror rhc p.raormne of rfic wort ld rhich th. I,6mit h issucd.
_l hovc and r ill mainlaifl worlcs .odpc.s.rion insudtue, $ Equied by Sdrion ! 70o of rh. kbo. Codc, for lhc pdfomrcc of
ir n i\\ucd Mrwo crr con,Fnslin,n nNrrntu.Mi.r dnd Bnicynuft.rm
I
vlCo t.r.\4
I ccnify rh,r in rhc pdfornam. oirhc work for *hi.h rhh p.rnri n Gsurd. I shollnor cnulot lny pcnoi in any nMnncr
$ N lo b.com suhjccl to th. worlcs'o'nDcnsarn'n liws ol CuliLmi!. 4d lsm rhlr ir I should h..omc sulrjst ro thc
Borkm c.nFnsurion lmvisions olSccrt,n:ITIDolrhe ljh, Ordc,I \h,ll. fodhsirh.onrly wirh rhoe Fmlninns
WARNIN(; F,ilurc ro r.urc sorkcr omDcnsriotr covcrisc is unlNtul. and shill \ubicr 3n chplo)$ b dinnnll IENlti\ lnd
i:.I,li)fr ii{r,![iqd:r[$l dollaF ($lm.Ooo). in addition lo rhe.osr ol compcrelion. drmges ns providcd fo! lhc
I hcr.hy anrarunds,'.nrlryolFrjuryrhar I m lic.n{n u r pn)ri\n,n olChnprd qr.o ncNirS Nirh Sccri(nl T0UrrolUlri!on.l
of rlr Burincss aM PNlcssiors Codc. ond nry lkcnsc is ir full rbrc !M clle.'l
q)NIIAIJEIIONI.ENDINC.{CDNII
I hcrch, afinm undc, Fnrhyoircrjuryrhlrrhcrc isaconddcrirn lcndin!rs.ky rorrh.l( oarNce ofrhc work rbr which
'hi\ Fnir i\
issucd(sc 1097.civ c.)
A}ILICANLDECLINAUA!
I hntJt altm u nd.i pcnrhyorpcrjuryonc of'tu rolowinB dc.hmrions:
Dcnx,lirk,n Prrnirs Arhros Norilicaliotr Fcdcml Rcguldions (Tirlc40, P#6)
R.gu,rcd trtrfi of N.lili.alion
I .cniry rhrl rh. fcdf l rcgul.rions rcSrdin8 Ntrslo\ rcnnv0l orc .ol rnplicahlc r. rnir trujftr
F,*::*:0r I hdr rcadrhnaDplicarion a' (rrr rhirrhcahrc innnfBri,,n i\..m.r lrlroro..nrtlr*irhrllCiryrtrdCounry
sfulc l]qsrcldin8 ro huiliinE rho't.r.ltr.\rnrrr,vr\ otrhn Ciryxtrd C.trnryii rtrrrr trJx llf,
|tt,vc mtun,md poFny r0 i,rsPicr
,\Dplir l or,\sr l Six ilu
65"
tuil 1 f 7n18
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bondino / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Ivleter Release
Rough Clt-o (g )tWtl
Service lvleter
FINAL 4Z 9\c s
Notes, Remarks, Etc
ID/SIG,
I un.rrnr|r tr .r Sc.rnn . B & l'j( l(nrhnr.rvn,
l)arc (rRn..:
Irretn^b.t*'JtlNatlslo '-'^*.(tu h//rtr.
Lcndcl.. Ndm
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